11D0991498 CLIA NUMBER - KENT G MILLER MD GYNECOLOGY

Laboratory Demographics

  • CLIA Code: 11D0991498
  • Facility Name: KENT G MILLER MD GYNECOLOGY
  • Facility Address: 303 JESSE JEWELL PARKWAY SUITE 230
    GAINESVILLE, GA
    ZIP 30501
  • Facility Phone: 770 532-4477
  • Facility Type: Physician Office
  • Facility Type: Microscopy
  • Lab Director: KENT G. MILLER MD
  • NPI Number: 1063567675
  • Taxonomy: 207V00000X - Obstetrics & Gynecology

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CLIA Record

Field Name Field Value
CLIA Number 11D0991498
LAB Type Physician Office
Facility Name KENT G MILLER MD GYNECOLOGY
Street 303 JESSE JEWELL PARKWAY SUITE 230
City GAINESVILLE
State GA
ZIP 30501
Phone 770 532-4477
Certificate Type Certificate for Provider-Performed Microscopy Procedures (PPMP)
Certificate Type Description This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.
Certificate Effective Date 9/21/2025
Certificate Expiration Date 9/20/2027
Facility Type Physician Office
Lab Director KENT G. MILLER MD

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This page was last updated on: 9/29/2025